| NPI | 1841805744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 175F00000X Naturopath (Licence: PR 000065) |
| Additional Taxonomies | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: PR 000065) |
| 171100000X Acupuncturist (Licence: PR 000065) | |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2021-11-08 |